Individual
KELLY QUINN FORSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(888) 225-4447
Mailing address
4847 WILLINGTON AVE, KIMBALL, MI 48074-1554
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/17/2012
Last updated
06/13/2022
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